The Basse-Terre Island of Guadeloupe (Eastern Caribbean, France) and Its Volcanic-Hydrothermal Geodiversity: A Case Study of Challenges, Perspectives, and New Paradigms for Resilience and Sustainability on Volcanic Islands

The volcanic-hydrothermal geo-diversity of the Basse-Terre Island of Guadeloupe archipelago (Eastern Caribbean, France) is a major asset of the Caribbean bio-geoheritage. In this paper, we use Guadeloupe as a representative of many small island developing states (SIDS), to show that the volcanic-hydrothermal geodiversity is a major resource and strategic thread for resilience and sustainability. These latter are related to the specific richness of Guadeloupe’s volcanic-geothermal diversity, which is de facto inalienable even in the wake of climate change and natural risks that are responsible for this diversity, i.e., volcanic eruptions. We propose the interweaving the specificity of volcanic-geothermal diversity into planning initiatives for resilience and sustainability. Among these initiatives research and development programs focused on the knowledge of geodiversity, biodiversity and related resources and risks are central for the long-term management of the water resource, lato sensu. Such a management should include a comprehensive scientific observatory for the characterization, exploration, and sustainable exploitation of the volcanic-hydrothermal geodiversity alongside planning for and mitigating geophysical risks related to sudden volcanic-induced phenomena and long-term systemic drifts due to climate change. The results of this exercise for Guadeloupe could typify innovative paths for similar SIDS around their own volcanic-hydrothermal geodiversity.

International Survey of Operative Practices for Otologists and Neurotologists During the COVID-19 Crisis.

OBJECTIVE: To investigate the influence of the COVID-19 pandemic on operative practices of otology and neurotology providers internationally. STUDY DESIGN: Cross-sectional survey. METHODS: A 78-question survey was distributed to otologists and neurotologists between May 12, 2020 and June 8, 2020 to assess the impact of the pandemic on surgical practices. Sections within the survey delineated time periods: prior to the crisis, onset of the crisis, during the crisis, postcrisis transition. RESULTS: Of 396 survey respondents, 284 participants from 38 countries met inclusion criteria.Respondents were 16.9% female and 82.4% male, with a most common age range of 40 to 49 years (36.3%). 69.8% of participants had been in practice for over 10 years and most respondents worked in an academic medical center (79.2%). The average operative weekly caseload was 5.3 (SD 3.9) per surgeon prior to the crisis, 0.7 (SD 1.2) during the COVID-19 crisis, and 3.5 (SD 3.3) for those who had begun a postcrisis transition at the time of survey administration (p < 0.001). 71.5% of providers did not perform an elective otologic or neurotologic operative procedure during the initial crisis period. 49.8% reported modifying their surgical technique due to the COVID-19 pandemic. Use of powered air-purifying respirators and filtering facepiece 2 or 3 (FFP2/FFP3) respirators were in minimal supply for 66.9% and 62.3% of respondents, respectively. CONCLUSION: The COVID-19 pandemic impacted the otology and neurotology community globally, resulting in significant changes in operative volume and case selection. Modification of surgical technique and shortages of personal protective equipment were frequently reported.